Single Incision Laparoscopic Surgery
Single incision laparoscopic surgery is an approach in laparoscopic surgery. Using only a single small incision through the navel, your surgeon can perform simple to advanced operations with specialized instrumentation. Dr. Zaré performed the first single incision laparoscopic cholecystectomy (for removal of gall bladder) at Good Samaritan Hospital in 2008. Although the approach was eventually expanded to other operations including single incision laparoscopic colectomy (for removal of colon), at this time the procedure is no longer offered in our practice due to lack of benefit and potential for increased rate of incisional hernias. Although conceptually the procedure had the promise of reducing pain, actual clinical and research outcomes revealed similar or increased levels of pain. Also, up to 8-10% of patients may develop hernias within the incision down the road, requiring additional surgery. Nationwide, interest in this approach has waned due to similar concerns.
Dr. Zaré was invited to present his preliminary work at a panel discussion at the meeting of the Northern California chapter of the American College of Surgeons in 2010. You can view part of the video presentation from that meeting of a single incision laparoscopic cholecystectomy (removal of gall bladder) performed by Dr. Zaré below.